NPI 1548397797

Serenity Incorporated

Organisation Adult Care Home Facility Cary, NC

Practice location

Address: 1002 Wilshire Dr, Cary, NC 27511-3921
Phone: (919) 771-9173
Fax: (919) 367-0816
Mailing address: PO Box 1583, Cary, NC 27512-1583

Authorised official

Name: Clarice Shyllon Faulkner
Title: President
Phone: (919) 771-9173

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence MHL-092-501 (NC)

Other Custodial Care Facility providers in North Carolina →

Registry record

NPI: 1548397797
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.